title: A rare case of anterior chest closure only with omental flap after devastating mediastinitis: case report.
abstract: We describe a case of 73-year-old patient who has been operated in emergency on triple coronary artery bypass graft (CABG), which was complicated with respiratory insufficiency and devastating mediastinitis. The anterior mediastinum was closed with an omental flap that was allowed to epithelize spontaneously. The patient was discharged after 110 days. Despite the large number of cases with mediastinitis described in the literature, the chest closure with only an omental flap without closure of subcutaneous tissue and skin is rare.
authors.affiliation: Cardiac Surgery Department, Hospital Carlo Poma, Mantova, Italy. fioranire@libero.it
authors.forename: Vinicio
authors.initials: V
authors.lastname: Fiorani
authors.forename: Sabjan
authors.initials: S
authors.lastname: Memishaj
authors.forename: Andrea
authors.initials: A
authors.lastname: Nocchi
authors.forename: Ernesto
authors.initials: E
authors.lastname: Tappainer
authors.forename: Nicola
authors.initials: N
authors.lastname: Pederzolli
authors.forename: Jacopo
authors.initials: J
authors.lastname: Manfredi
authors.forename: Mario
authors.initials: M
authors.lastname: Zogno
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000209:etiology; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D055624:Methicillin-Resistant Staphylococcus aureus; D009852:Omentum / Q000637:transplantation*; D012131:Respiratory Insufficiency / Q000209:etiology; D012307:Risk Factors; D013524:Surgical Flaps; D019616:Thoracic Surgical Procedures / Q000379:methods*